Jeffrey L Harris, MD | |
325 Warner Dr, Lewiston, ID 83501-4437 | |
(208) 798-8500 | |
(208) 798-8530 |
Full Name | Jeffrey L Harris |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 325 Warner Dr, Lewiston, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942232285 | NPI | - | NPPES |
806974300 | Medicaid | ID | |
8289035 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00034232 (Washington) | Secondary |
207R00000X | Internal Medicine | M-9259 (Idaho) | Primary |
Entity Name | St Joseph Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790816262 PECOS PAC ID: 2961497235 Enrollment ID: O20041220001093 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey L Harris, MD 325 Warner Dr, Lewiston, ID 83501-4437 Ph: (208) 798-8500 | Jeffrey L Harris, MD 325 Warner Dr, Lewiston, ID 83501-4437 Ph: (208) 798-8500 |
Robert Alan Wales, MD, FACC Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St Grade, Lewiston, ID 83501 Phone: 509-455-8820 Fax: 509-227-7070 | |
David B Souvenir, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7204 Fax: 208-746-0134 | |
Jane A Fore, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Sixth St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Dr. Heather Fowler Cumbo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Sushma Pant, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 Idaho Street, Lewiston, ID 83501 Phone: 208-743-7427 Fax: 208-743-7421 | |
Dr. Michael Rooney, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528 | |
Dr. William Westel Rowe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7507 |